Organization · Type 2 NPI
Council for Advancement of Social Service and Education
Federally Qualified Health Center (FQHC) · Mansfield, LA
NPI number
1285942284
Active
Practice location
907 Polk St
Mansfield, LA 71052-2520
Fax (318) 872-1055
Mailing address
2120 Bert Kouns Industrial Loop, Suite E
Shreveport, LA 71118-3351
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 104 (LA) |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
- Council for the Advancement of Social Services and EducationInternal Medicine Physician Mansfield, LA NPI 1174609721
- Council for the Advancement of Social Servies and EducationPediatrics Physician Mansfield, LA NPI 1568608735
- Ashley Rael Sepulvado, FNP-CFamily Nurse Practitioner Mansfield, LA NPI 1336983543
About NPI 1285942284
Council for Advancement of Social Service and Education's National Provider Identifier is 1285942284, issued on Sep 24, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mansfield, LA. The record was last updated on Jul 24, 2020.